Autism: Autism, which may also be known as Autistic Disorder is a disorder that affects almost all areas of a child’s social and psychological development. The major problems in this condition are early diagnosis which is very difficult, understanding of the child problems and managing for their need. Most parent do not understand how and why their child different from other child, which is one of the challenging factor for every mother and father.

In a variety of ways Autism prevents a child from interacting normally with others: This factor is one of the main issues “Communication” Some children can speak, some cannot, the later is more difficult than the child who can say few words. The articulation of the tongue is very poor in most of the children. I am very concern about the growth of the children teeth, which is very important in way for speech, which is usually ignored by the assessment team. It is believed that Autism affects just slightly more than 10 children in every 100,000, and that boys are three times as likely to be autistic as girls. Autism also usually appears in early childhood, prior to the age of starting school.

Signs and Symptoms of Autism The signs and symptoms of Autism usually become observable in early childhood, but generally after at least a year of appropriate development. Autism includes a wide spectrum of signs and symptoms, though each autistic child will exhibit a unique mixture of these behaviours. Many autistic children have difficulty communicating with others through the use of language (be it verbal or sign language), often engage in repetitive behaviours such as rocking their bodies or banging their head against a wall, are interested in only a select few activities and enjoy rigid environments and routines. Some autistic children also display hypersensitivity in their senses of touch, taste, smell and hearing.

Treatment for Autism: Mostly Autistic children are not referred to physiotherapist for unknown reasons, but physiotherapy is one of the essential areas which should be considered. Most of the children muscle tone will be low; their fine motor skills are very poor.

Goshi journey with Mary:Case History: Mary was first assessed on 12 April’08 and found to have following difficulties: Her tone of muscle in upper limb was low and had right dropping of shoulder and internally rotated with scapulae laterally rotated and her lower limb muscles were low tone and the muscle power of the both upper and lower limb was having 4- where she can do activities against gravity with minimal resistance and was able with stand low resistance, she was having difficulties in fast walking and jumping, cycling and she was having low confident to any activities.

She was started with 6kgs of weight using pulley system for training resisted exercises for both upper limb and lower limb she was able to do 150 repetition for both upper limb and lower limb in 1hr time with a 5min break for each movement like hip flexion extension abduction adduction

Added to resisted exercise for upper limb PNF Techniques was adopted for correcting her right upper limb problems. Her posture was corrected using posture correction exercises like side bending, rotation of trunk and strengthening of trunk muscles was done by using concentric and extrinsic exercise for trunk.

n cooperation combined therapy like bridging for hip control and also core strengthening programme was initiated by using exercise balls, obstacle programme was used for improving coordination and other exercise like rowing, jumping squatting were also in cooperated for improving the strength in lower limb and trunk.

Mary showed a good response in 8 weeks duration and her programme was slowly made intensive by in cooperating like Pilates exercise for upper limb and lower limb.

Now Mary is able to with stand 8kgs of weight and able to do 200 counts of resisted exercise and also she is very individual where she can to do 100 counts of skipping, jumping in trampoline, driving bicycle and she can also do roller skating. Over all she is very confident.